Mary Jo Stine, MD is a medicare enrolled "Pediatrics" physician in Spencer, Indiana. Her current practice location is
35 Bob Babbs Dr, Spencer, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 665-1700.
Mary Jo Stine is licensed to practice in Indiana (license number 01029565A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619965803.
Physician's Profile
Full Name | Mary Jo Stine |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 35 Bob Babbs Dr, Spencer, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619965803
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 01/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305386624
- Enrollment ID: I20240912002354
Medical Identifiers
Medical identifiers for Mary Jo Stine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619965803 | NPI | - | NPPES |
100330490 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01029565A (Indiana) | Secondary |
208000000X | Pediatrics | 01029565A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Jo Stine allows following entities to bill medicare on her behalf.
Entity Name | Indiana Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jo Stine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Jo Stine, MD 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335 | Mary Jo Stine, MD 35 Bob Babbs Dr, Spencer, IN 47460-6828 Ph: (812) 665-1700 |
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